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TEST BANK FOR PHARMACOLOGY 10TH EDITION, 9TH EDITION, 11TH EDITION, 9TH EDITION & 4TH EDITION, ALL CHAPTERS COVERED, LATEST COMPLETE GUIDE.
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Test Bank For Pharmacology: Drug Classifications and Dosage Calculations 4th Edition, by Watkins
Test Bank For Pharmacology Clear and Simple A Guide to Drug Classifications and Dosage Calculations 4th Edition By Cynthia J. Watkins , All Chapters1 -20 ,... [Show More] Complete Latest Guide 2024. Chapter 1. History of Pharmacology Multiple Choice Identify the choice that best completes the statement or answers the question. 1. While caring for a client who is taking furosemide (Lasix), the nurse recognizes dietary teaching has been effective if the patient includes which of the following foods in his daily menus? A. Broccoli and kiwi B. Oranges and sweet potatoes C. Kale and cucumbers D. Bananas and melon 2. A client newly diagnosed with diabetes tells the nurse, “I can’t take any insulin made from pigs or cows.” Which of the following responses by the nurse is best? A. “Most insulin comes from animal sources, but I’m sure alternative options are available.” B. “Medications that are derived from animals are typically less expensive than synthetic medications, but synthetic insulin is commonly available.” C. “Most insulin is synthetic now to help reduce the risk of disease transmission.” D. “The animals aren’t hurt in the production of medications, so you don’t need to worry.” 3. While providing medications to clients on the cardiac unit, the nurse anticipates that hydralazine hydrochloride and isosorbide dinitrate (BiDil) would most likely be prescribed for which of the following clients? A. A 48-year-old Caucasian male diagnosed with atrial fibrillation B. A 55-year-old African American female diagnosed with hypertension C. A 63-year-old Caucasian female diagnosed with sick sinus syndrome D. A 64-year-old African American male diagnosed with heart failure 4. While caring for a patient scheduled for knee replacement surgery, the nurse provides cefazolin (Ancef) as ordered 30 minutes pre-operatively. The nurse knows that teaching has been effective by which of the following client statements? A. “The antibiotic is given as a prophylactic to help reduce the risk of infection after surgery.” B. “This is a palliative medication to help ease the pain from surgery.” C. “This medication will replace vitamins and minerals that may be lost due to bleeding during surgery.” D. “This medication will help the surgeon identify areas of bone destruction due to arthritis.” 5. While caring for a patient with a history of hypothyroidism, the nurse expects which of the following medications to be included in the patient’s medication list? A. Levothyroxine sodium (Synthroid) B. Estrogen (Estradiol) C. Iodine 131 D. Carbimazole (Methimazole) 6. The nurse is receiving a shift-to-shift report on a medical unit and is informed that a 55-year-old patient with a history of vomiting is scheduled for a diagnostic radiograph of the upper gastrointestinal tract. Which of the following statements would the nurse include in the client’s teaching? A. “You will need to drink a large amount of prep to clear out your system before the test.” B. “It is important that you be given a prophylactic medication to prevent aspiration during the test.” C. “You will be asked to drink a barium contrast about 30 minutes before the test to help highlight any digestive problems.” D. “You will be given a sedative to help make you sleepy during the testing procedure.” 7. A student nurse is providing care for a 29-year-old patient with advanced cervical cancer who was recently admitted with metastatic disease. While reviewing the patient’s medication list, the student would categorize which of the following medications as palliative in nature? A. Cisplatin (Platinol) 50 mg IV weekly to start day 8 B. Sorafenib (Nexavar) 200 mg orally twice daily for 7 days C. Ondansetron (Zofran) 4 mg IV prior to chemotherapy D. Morphine sulfate (Roxanol) 5 mg po every 4 hours as needed for pain 8. A woman experiencing menopausal symptoms asks the nurse about conjugated estrogen (Premarin). Which of the following statements by the individual indicates an understanding of the medication’s origin? A. “I’m against animal cruelty, so I don’t want to take anything made from animal flesh.” B. “I was told the medication is actually derived from the urine of pregnant horses.” C. “Because I’m Jewish, I can’t take the medication since it comes from pigs.” D. “I think harvesting medicines from cows seems rather odd.” 9. The nurse working in a diagnostic center is responsible for verifying client allergies prior to testing. A 47-year-old woman reports being allergic to iodine, and thus is unable to have which test? A. Computerized axial tomography (CAT) scan B. Magnetic resonance imaging (MRI) C. Colonoscopy D. Thyroid scan. [Show Less]
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Test Bank For Pharmacology A Patient-Centered Nursing Process Approach 11th Edition by McCuistion
Test Bank For Pharmacology A Patient-Centered Nursing Process Approach 11th Edition by Linda E. McCuistion | Newest Version 2023/2024 | Chapter 1-58 | Com... [Show More] plete Questions and Answers A+. Chapter 01: The Nursing Process and Patient-Centered Care McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 11th Edition MULTIPLE CHOICE 1. All of the following would be considered subjective data, EXCEPT: a. Patient-reported health history b. Patient-reported signs and symptoms of their illness c. Financial barriers reported by the patient’s caregiver d. Vital signs obtained from the medical record ANS: D Subjective data is based on what patients or family members communicate to the nurse. Patientreported health history, signs and symptoms, and caregiver reported financial barriers would be considered subjective data. Vital signs obtained from the medical record would be considered objective data. DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Planning MSC: NCLEX: Management of Client Care 2. The nurse is using data collected to define a set of interventions to achieve the most desirable outcomes. Which of the following steps is the nurse applying? a. Recognizing cues (assessment) b. Analyze cues & prioritize hypothesis (analysis) c. Generate solutions (planning) d. Take action (nursing interventions) ANS: C When generating solutions (planning), the nurse identifies expected outcomes and uses the patient’s problem(s) to define a set of interventions to achieve the most desirable outcomes. Recognizing cues (assessment) involves the gathering of cues (information) from the patient about their health and lifestyle practices, which are important facts that aid the nurse in making clinical care decisions. Prioritizing hypothesis is used to organize and rank the patient problem(s) identified. Finally, taking action involves implementation of nursing interventions to accomplish the expected outcomes. DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Nursing Intervention MSC: NCLEX: Management of Client Care 3. A 5-year-old child with type 1 diabetes mellitus has had repeated hospitalizations for episodes of hyperglycemia. The parents tell the nurse that they can’t keep track of everything that has to be done to care for their child. The nurse reviews medications, diet, and symptom management with the parents and draws up a daily checklist for the family to use. These activities are completed in which step of the nursing process? a. Recognizing cues (assessment) b. Analyze cues & prioritize hypothesis (analysis) Stuvia.com - The Marketplace to Buy and Sell your Study Material Downloaded by: youngstar | kanyugipurity@gmail.com Distribution of this document is illegal Want to earn $103 per month? Downloaded by: DoctorReinhad | titofredii7@gmail.com Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material c. Generate solutions (planning) d. Take action (nursing interventions) ANS: D Taking action through nursing interventions is where the nurse provides patient health teaching, drug administration, patient care, and other interventions necessary to assist the patient in accomplishing expected outcomes. DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Nursing Intervention MSC: NCLEX: Management of Client Care 4. The nurse is preparing to administer a medication and reviews the patient’s chart for drug allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse’s actions are reflective of which of the following? a. Recognizing cues (assessment) b. Analyze cues & prioritize hypothesis (analysis) c. Take action (nursing interventions) d. Generate solutions (planning) ANS: A Recognizing cues (assessment) involves gathering subjective and objective information about the patient and the medication. Laboratory values from the patient’s chart would be considered collection of objective data. DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Assessment MSC: NCLEX: Management of Client Care 5. Which of the following would be correctly categorized as objective data? a. A list of herbal supplements regularly used provided by the patient. b. Lab values associated with the drugs the patient is taking. c. The ages and relationship of all household members to the patient. d. Usual dietary patterns and food intake. ANS: B Objective data are measured and detected by another person and would include lab values. The other examples are subjective data. DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Assessment MSC: NCLEX: Management of Client Care 6. The nurse reviews a patient’s database and learns that the patient lives alone, is forgetful, and does not have an established routine. The patient will be sent home with three new medications to be taken at different times of the day. The nurse develops a daily medication chart and enlists a family member to put the patient’s pills in a pill organizer. This is an example of which element of the nursing process? a. Recognizing cues (assessment) b. Analyze cues & prioritize hypothesis (analysis) c. Take action (nursing interventions) Stuvia.com - The Marketplace to Buy and Sell your Study Material Downloaded by: youngstar | kanyugipurity@gmail.com Distribution of this document is illegal Want to earn $103 per month? Downloaded by: DoctorReinhad | titofredii7@gmail.com Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material d. Generate solutions (planning) ANS: C Taking action (nursing interventions) involves education and patient care in order to assist the patient to accomplish the goals of treatment. DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Nursing Intervention MSC: NCLEX: Management of Client Care 7. A patient who is hospitalized for chronic obstructive pulmonary disease (COPD) wants to go home. The nurse and the patient discuss the patient’s situation and decide that the patient may go home when able to perform self-care without dyspnea and hypoxia. This is an example of which phase of the nursing process? a. Recognizing cues (assessment) b. Analyze cues & prioritize hypothesis (analysis) c. Take action (nursing interventions) d. Generate solutions (planning) ANS: D Generating solutions (planning) involves defining a set of interventions to achieve the most desirable outcomes, which, for this patient, means being able to perform self-care activities without dyspnea and hypoxia. DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Planning MSC: NCLEX: Management of Client Care 8. A patient will be sent home with a metered-dose inhaler, and the nurse is providing teaching. Which is a correctly written expected outcome for this process? a. The nurse will demonstrate the correct use of a metered-dose inhaler to the patient. b. The nurse will teach the patient how to administer medication with a metered-dose inhaler. c. The patient will know how to self-administer the medication using the metereddose inhaler. d. The patient will independently administer the medication using the metered-dose inhaler at the end of the session. ANS: D Expected outcomes must be patient-centered and clearly state the outcome with a reasonable deadline and should identify components for evaluation. DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Planning MSC: NCLEX: Management of Client Care 9. The nurse is generating solutions (planning) for a patient who has chronic lung disease and hypoxia. The patient has been admitted for increased oxygen needs above a baseline of 2 L/min. The nurse generates an expected outcomes stating, “The patient will have oxygen saturations of >95% on room air at the time of discharge from the hospital.” What is wrong with this goal? a. It cannot be evaluated. Stuvia.com - The Marketplace to Buy and Sell your Study Material Downloaded by: youngstar | kanyugipurity@gmail.com Distribution of this document is illegal Want to earn $103 per month? Downloaded by: DoctorReinhad | titofredii7@gmail.com Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material b. It is not measurable. c. It is not patient-centered. d. It is not realistic. ANS: D The expected outcome is not realistic because the patient is not usually on room air and should not be expected to attain that expected outcome by discharge from this hospitalization. DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Planning MSC: NCLEX: Management of Client Care 10. The nurse is developing a teaching plan for an elderly patient who will begin taking an antihypertensive drug that causes dizziness and orthostatic hypotension. Which hypothesis (problem) documented by the nurse is appropriate for this patient? a. Deficient knowledge related to drug side effects. b. Ineffective health maintenance related to age. c. Readiness for enhanced knowledge related to medication side effects. d. Risk for injury related to side effects of the medication. ANS: D This patient has an increased risk for injury because of drug side effects, so this is an appropriate hypothesis (problem) to direct the type of care and follow-up the patient will receive. DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Nursing Diagnosis MSC: NCLEX: Management of Client Care 11. An older patient must learn to administer a medication using a device that requires manual dexterity. The patient becomes frustrated and expresses lack of self-confidence in performing this task. Which action will the nurse perform next? a. Ask the patient to keep trying until the skill is learned. b. Provide written instructions with illustrations showing each step of the skill. c. Schedule multiple sessions and practice each step separately. d. Teach the procedure to family members who can administer the medication for the patient. ANS: C Nurses should be sensitive to patient’s level of frustration when teaching skills. In this case, breaking the steps down into individual parts will help with this patient’s frustration level. DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Planning MSC: NCLEX: Management of Client Care 12. A school-age child will begin taking a medication to be administered at 5 mL three times daily. The child’s parent tells the nurse that, with a previous use of the drug, the child repeatedly forgot to bring the medication home from school, resulting in missed evening doses. What will the nurse recommend? a. Encourage the child to be more responsible and that it is important to take the medication as prescribed. Stuvia.com - The Marketplace to Buy and Sell your Study Material Downloaded by: youngstar | kanyugipurity@gmail.com Distribution of this document is illegal Want to earn $103 per month? Downloaded by: DoctorReinhad | titofredii7@gmail.com Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material b. Putting a note on the child’s locker to encourage the child to take responsibility for medication administration. c. Asking the provider if 7.5 mL may be taken in the morning and 7.5 mL may be taken in the evening so that the correct amount is given daily. d. Taking the noon dose to school every day and giving it to the school nurse to administer. ANS: C For busy families with school-age children, it may be necessary to adjust the medication schedule to one that fits their schedule. The nurse should ask the provider if a revised schedule is possible. In this case, the most effective revised schedule would involve not taking the medication while at school. Putting a note on the locker is not likely to be effective. It is not correct to adjust the dose. [Show Less]
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TEST BANK For Pharmacology & the Nursing Process 9th Edition By Lilley Chapter 1-58 Complete Guide
TEST BANK For Pharmacology and the Nursing Process 9th Edition By Lilley | All Chapter 1-58> Complete Latest Guide. Chapter 01: The Nursing Process and... [Show More] Drug Therapy Lilley: Pharmacology and the Nursing Process, 9th Edition MULTIPLE CHOICE 1. The nurse is developing a human needs statement for a patient who has a new diagnosis of heart failure. Identification of human needs statements occur with which of these activities? a. Collection of patient data b. Administering interventions c. Deciding on patient outcomes d. Documenting the patient’s behavior ANS: A Identification of human needs occurs with the collection of patient data. DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Human Needs Statement MSC: NCLEX: Safe and Effective Care Environment: Management of Care 2. The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the nurse was busy and gave the medication 2 hours after the scheduled dose was due. What type of problem does this represent? a. “Right time” b. “Right dose” c. “Right route” d. “Right medication” ANS: A “Right time” is correct because the medication was given more than 30 minutes after the scheduled dose was due. “Dose” is incorrect because the dose is not related to the time the medication administration is scheduled. “Route” is incorrect because the route is not affected. “Medication” is incorrect because the medication ordered will not change. DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control 3. The nurse has been monitoring the patient’s progress on a new drug regimen since the first dose and documenting the patient’s therapeutic response to the medication. Which phase of the nursing process do these actions illustrate? a. Human needs statement b. Planning c. Implementation d. Evaluation ANS: D Monitoring the patient’s progress, including the patient’s response to the medication, is part of the evaluation phase. Planning, implementation, and human needs statement are not illustrated by this example. Chapter 1 - The Nursing Process and Drug Therapy 3 Pharmacology and the Nursing Process 9th Edition 9780323529495 lOMoARcPSD|13696318 DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Evaluation MSC: NCLEX: Safe and Effective Care Environment: Management of Care 4. The nurse is assigned to a patient who is newly diagnosed with type 1 diabetes mellitus. Which statement best illustrates an outcome criterion for this patient? a. The patient will follow instructions. b. The patient will not experience complications. c. The patient will adhere to the new insulin treatment regimen. d. The patient will demonstrate correct blood glucose testing technique. ANS: D “Demonstrating correct blood glucose testing technique” is a specific and measurable outcome criterion. “Following instructions” and “not experiencing complications” are not specific criteria. “Adhering to new regimen” would be difficult to measure. DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment: Management of Care 5. Which activity best reflects the implementation phase of the nursing process for the patient who is newly diagnosed with hypertension? a. Providing education on keeping a journal of blood pressure readings b. Setting goals and outcome criteria with the patient’s input c. Recording a drug history regarding over-the-counter medications used at home d. Formulating human needs statements regarding insufficient knowledge related to the new treatment regimen ANS: A Education is an intervention that occurs during the implementation phase. Setting goals and outcomes reflects the planning phase. Recording a drug history reflects the assessment phase. Formulating human needs statements reflects analysis of data as part of planning. DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment: Management of Care 6. The medication order reads, “Give ondansetron (Zofran) 4 mg, 30 minutes before beginning chemotherapy to prevent nausea.” The nurse notes that the route is missing from the order. What is the nurse’s best action? a. Give the medication intravenously because the patient might vomit. b. Give the medication orally because the tablets are available in 4-mg doses. c. Contact the prescriber to clarify the route of the medication ordered. d. Hold the medication until the prescriber returns to make rounds. ANS: C A complete medication order includes the route of administration. If a medication order does not include the route, the nurse must ask the prescriber to clarify it. The intravenous and oral routes are not interchangeable. Holding the medication until the prescriber returns would mean that the patient would not receive a needed medication. DIF: Cognitive Level: Applying (Application) Chapter 1 - The Nursing Process and Drug Therapy 4 Pharmacology and the Nursing Process 9th Edition 9780323529495 lOMoARcPSD|13696318 TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment: Management of Care 7. When the nurse considers the timing of a drug dose, which factor is appropriate to consider when deciding when to give a drug? a. The patient’s ability to swallow b. The patient’s height c. The patient’s last meal d. The patient’s allergies ANS: C The nurse must consider specific pharmacokinetic/pharmacodynamic drug properties that may be affected by the timing of the last meal. The patient’s ability to swallow, height, and allergies are not factors to consider regarding the timing of the drug’s administration. DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Assessment MSC: NCLEX: Safe and Effective Care Environment: Management of Care 8. The nurse is performing an assessment of a newly admitted patient. Which is an example of subjective data? a. Blood pressure 158/96 mm Hg b. Weight 255 pounds c. The patient reports that he uses the herbal product ginkgo. d. The patient’s complete blood count results. ANS: C Subjective data include information shared through the spoken word by any reliable source, such as the patient. Objective data may be defined as any information gathered through the senses or that which is seen, heard, felt, or smelled. A patient’s blood pressure, weight, and laboratory tests are all examples of objective data. DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Assessment MSC: NCLEX: Safe and Effective Care Environment: Management of Care MULTIPLE RESPONSE 1. When giving medications, the nurse will follow the rights of medication administration. The rights include the right documentation, the right reason, the right response, and the patient’s right to refuse. Which of these are additional rights? (Select all that apply.) a. Right drug b. Right route c. Right dose d. Right diagnosis e. Right time f. Right patient ANS: A, B, C, E, F Additional rights of medication administration must always include the right drug, right dose, right time, right route, and right patient. The right diagnosis is incorrect. Chapter 1 - The Nursing Process and Drug Therapy 5 Pharmacology and the Nursing Process 9th Edition 9780323529495 lOMoARcPSD|13696318 DIF: Cognitive Level: Remembering (Knowledge) TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control 2. Place the phases of the nursing process in the correct order, with 1 as the first phase and 5 as the last phase. (Select all that apply.) a. Planning b. Evaluation c. Assessment d. Implementation e. Human needs statement ANS: A, B, C, D, E The nursing process is an ongoing process that begins with assessing and continues with human needs statement, planning, implementing, and evaluating. DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: General MSC: NCLEX: Safe and Effective Care Environment: Management of Care Chapter 1 - The Nursing Process and Drug Therapy 6 Pharmacology and the Nursing Process 9th Edition 9780323529495 lOMoARcPSD|13696318 Chapter 02: Pharmacologic Principles Lilley: Pharmacology and the Nursing Process, 9th Edition MULTIPLE CHOICE 1. The patient is receiving two different drugs. At current dosages and dosage forms, both drugs have the same concentration of the active ingredient. Which term is used to identify this principle? a. Bioequivalent b. Synergistic c. Prodrugs d. Steady state ANS: A Two drugs absorbed into the circulation in the same amount (in specific dosage forms) have the same bioavailability; thus, they are bioequivalent. A drug’s steady state is the physiologic state in which the amount of drug removed via elimination is equal to the amount of drug absorbed from each dose. The term synergistic refers to two drugs, given together, with a resulting effect that is greater than the sum of the effects of each drug given alone. A prodrug is an inactive drug dosage form that is converted to an active metabolite by various biochemical reactions once it is inside the body. DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies 2. When given an intravenous medication, the patient says to the nurse, “I usually take pills. Why does this medication have to be given in the arm?” What is the nurse’s best answer? a. “The medication will cause fewer adverse effects when given intravenously.” b. “The intravenous medication will have delayed absorption into the body’s tissues.” c. “The action of the medication will begin sooner when given intravenously.” d. “There is a lower chance of allergic reactions when drugs are given intravenously.” ANS: C An intravenous (IV) injection provides the fastest route of absorption. The IV route does not affect the number of adverse effects, nor does it cause delayed tissue absorption (it results in faster absorption). The IV route does not affect the number of allergic reactions. [Show Less]
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TEST BANK FOR PHARMACOLOGY 9TH EDITION (2017) MCCUISTION
TEST BANK FOR PHARMACOLOGY 9TH EDITION, (2017) MCCUISTION. Table of Contents Chapter 01: Drug Development and Ethical Considerations Chapter 02: Phar... [Show More] macokinetics, Pharmacodynamics, and Pharmacogenetics Chapter 03: Cultural Considerations Chapter 04: Complementary and Alternative Therapies Chapter 05: Pediatric Considerations Chapter 06: Geriatric Considerations Chapter 07: Drugs in Substance Use Disorder Chapter 08: The Nursing Process and Patient-Centered Care Chapter 09: Safety and Quality Chapter 10: Drug Administration Chapter 11: Drug Calculations Chapter 12: Fluid Volume and Electrolytes Chapter 13: Vitamin and Mineral Replacement Chapter 14: Nutritional Support Chapter 15: Adrenergic Agonists and Antagonists Chapter 16: Cholinergic Agonists and Antagonists Chapter 17: Stimulants Chapter 18: Depressants Chapter 19: Antiseizure Drugs Chapter 20: Drugs for Parkinsonism and Alzheimer's Disease Chapter 21: Drugs for Neuromuscular Disorders and Muscle Spasms Chapter 22: Antipsychotics and Anxiolytics Chapter 23: Antidepressants and Mood Stabilizers Chapter 24: Antiinflammatories Chapter 25: Analgesics Chapter 26: Antibacterials Chapter 27: Antituberculars, Antifungals, and Antivirals Chapter 28: Peptides, Antimalarial, and Anthelmintic Chapter 29: HIV- and AIDS-Related Drugs Chapter 30: Transplant Drugs Chapter 31: Vaccines Chapter 32: Anticancer Drugs Chapter 33: Targeted Therapies to Treat Cancer Chapter 34: Biologic Response Modifiers Chapter 35: Upper Respiratory Disorders Chapter 36: Lower Respiratory Disorders Chapter 37: Cardiac Glycosides, Antianginals, and Antidysrhythmics Chapter 38: Diuretics Chapter 39: Antihypertensive Chapter 40: Anticoagulants, Antiplatelets, and Thrombolytics Chapter 41: Antihyperlipidemics and Peripheral Vasodilators Chapter 42: Gastrointestinal Tract Disorders Chapter 43: Antiulcer Drugs Chapter 44: Eye and Ear Disorders Chapter 45: Dermatologic Disorders Chapter 46: Pituitary, Thyroid, Parathyroid, and Adrenal Disorders Chapter 47: Antidiabetics Chapter 48: Urinary Disorders Chapter 49: Pregnancy and Preterm Labor Chapter 50: Labor, Delivery, and Postpartum Chapter 51: Neonatal and Newborn Chapter 52: Women's Reproductive Health Chapter 53: Men's Reproductive Health Chapter 54: Sexually Transmitted Infections Chapter 55: Adult and Pediatric Emergency Drugs Test Bank - Pharmacology: A Patient-Centered Nursing Process Approach (9th Edition, 2017) PHARMACOLOGY 9TH EDITION MCCUISTION TEST BANK https://shopping-4-less.weebly.com/ Test Bank - Pharmacology: A Patient-Centered Nursing Process Approach (9th Edition, 2017) PHARMACOLOGY 9TH EDITION MCCUISTION TEST BANK https://shopping-4-less.weebly.com/ Chapter 01: Drug Development and Ethical Considerations MULTIPLE CHOICE 1. The nurse is preparing to administer a schedule II injectable drug and is drawing up half of the contents of a Single-use vial. Which nursing action is correct? a. Ask another nurse to observe and cosign wasting the remaining drug from the vial. b. Keep the remaining amount in the patient’s drawer to give at the next dose. c. Record the amount unused in the patient’s medication record. d. Dispose of the vial with the remaining drug into a locked collection box. ANS: A Schedule II drugs are controlled substances, and all must be accounted for. When wasting a portion of a drug, another nurse should observe and cosign that a drug was wasted. DIF: COGNITIVE LEVEL: Applying (Application) TOP: NURSING PROCESS: Nursing Intervention MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies 2. A patient is prescribed a medication and asks the nurse if the drug is available in a generic form. The nurse understands that a generic medication will have a name that a. is a registered trademark. b. is always capitalized. c. describes the drugs chemical structure. d. is non-proprietary. ANS: D The generic name is the official, non-proprietary name for a drug. The brand name is the trademark name and is always capitalized. The chemical name describes the chemical structure of the drug. DIF: COGNITIVE LEVEL: Understanding (Comprehension) TOP: NURSING PROCESS: N/A MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies 3. A patient receives a prescription on which the provider has noted that a generic medication may be given.The patient asks the nurse what this means. What will the nurse tell the patient about generic drugs? a. They contain the same inert ingredients as brand-name drugs. b. They have chemical structures that are identical to proprietary drugs. c. They tend to be less expensive than brand-name drugs. d. They undergo extensive testing before they are marketed. ANS: C Generic drugs are approved by the FDA if they are proved to be bioequivalent to the brandname drug. They tend to be less expensive because manufacturers of these drugs do not have to do the extensive testing required of brand-name drugs before marketing. They are not identical to brand-name drugs and often have different inert ingredients. DIF: COGNITIVE LEVEL: Applying (Application) TOP: NURSING PROCESS: Nursing Intervention: Patient Teaching MSC: NCLEX: Management of Client Care 4. The nurse reviews information about a drug and notes the initials USP after the drugs official name. The nurse understands that this designation indicates the drug a. is a controlled substance. Test Bank - Pharmacology: A Patient-Centered Nursing Process Approach (9th Edition, 2017) PHARMACOLOGY 9TH EDITION MCCUISTION TEST BANK https://shopping-4-less.weebly.com/ Test Bank - Pharmacology: A Patient-Centered Nursing Process Approach (9th Edition, 2017) PHARMACOLOGY 9TH EDITION MCCUISTION TEST BANK https://shopping-4-less.weebly.com/ b. is approved by the U.S. Food and Drug Administration (FDA). c. is available in generic form. d. meets quality and safety standards. ANS: D The USP designation is given to drugs that have met high standards for therapeutic use, patient safety, quality, purity, strength, packaging safety, and dosage form by the United States Pharmacopoeia National Formulary. The FDA classifies controlled substances with Roman numerals from I to V. The USP designation does not indicate FDA approval. The USP designation does not indicate generic availability. DIF: COGNITIVE LEVEL: Understanding (Comprehension) TOP: NURSING PROCESS: N/A MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies 5. The nurse is preparing to give a medication to a child. The child’s parent asks whether the drug is safe for children. How will the nurse respond to the parent? a. Drugs are tested on adults and safe doses for children are based on weights compared to adult weights. b. Drugs are deemed safe for children over time when repeated use proves effectiveness and safety. c. Drugs are tested for both efficacy and safety in children in order to be marketed for pediatric use. d. Drugs are tested on children in post marketing studies and on a limited basis. ANS: C The Pediatric Research Equity Act requires drug manufacturers to test drugs on children. DIF: COGNITIVE LEVEL: Applying (Application) TOP: NURSING PROCESS: Nursing Intervention MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies 6. Which law(s) govern all drug administration by nurses? a. Drug Regulation and Reform Act b. FDA Amendments Act c. Nurse Practice Acts d. The Controlled Substances Act ANS: C Each states Nurse Practice Act identifies how nurses administer medications. The other acts govern how drugs are marketed and tested. DIF: COGNITIVE LEVEL: Understanding (Comprehension) TOP: NURSING PROCESS: N/A MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies 7. The nurse administers a drug and miscalculates the dose by placing the decimal place one space to the right, resulting in a 10-fold overdose and the death of the patient. What offense does this represent? a. Malfeasance b. Malpractice c. Misfeasance d. Nonfeasance ANS: C Misfeasance is negligence in giving either the wrong drug or the wrong dose, resulting in the death of the patient. Test Bank - Pharmacology: A Patient-Centered Nursing Process Approach (9th Edition, 2017) PHARMACOLOGY 9TH EDITION MCCUISTION TEST BANK https://shopping-4-less.weebly.com/ Test Bank - Pharmacology: A Patient-Centered Nursing Process Approach (9th Edition, 2017) PHARMACOLOGY 9TH EDITION MCCUISTION TEST BANK https://shopping-4-less.weebly.com/ DIF: COGNITIVE LEVEL: Understanding (Comprehension) TOP: NURSING PROCESS: N/A MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies 8. The nurse is busy and neglects to give a drug to a patient resulting in the patient’s death. What offense does this represent? a. Malfeasance b. Malpractice c. Misfeasance d. Nonfeasance ANS: D Nonfeasance is omitting a drug dose, resulting in the patient’s death. DIF: COGNITIVE LEVEL: Understanding (Comprehension) TOP: NURSING PROCESS: N/A MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies 9. A patient is taking methadone as part of a heroin withdrawal program. The nurse understands that, in this instance, methadone is classified as which drug schedule? a. C-I b. C-II c. C-III d. C-V ANS: B Methadone is a category II drug, with a high potential for drug abuse. DIF: COGNITIVE LEVEL: Understanding (Comprehension) TOP: NURSING PROCESS: N/A MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies 10. The nurse is preparing to administer a combination drug containing acetaminophen and codeine. The nurse knows that this drug is classified as which drug schedule? a. C-II b. C-III c. C-IV d. C-V ANS: B Codeine is normally a category II drug, except when it is part of a combination product such as with acetaminophen, making it a category III drug. DIF: COGNITIVE LEVEL: Understanding (Comprehension) TOP: NURSING PROCESS: N/A MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies 11. The nurse is obtaining consent from a subject newly recruited for a clinical drug trial that will last for 6 months. All subjects will be given gift certificates for participating. One subject says, Well, I guess if the drug doesn't work, I'll just have to put up with the symptoms for 6 months. What will the nurse tell the subject? a. Participation for the duration of the study is required. b. Participation may end at any time without penalty. c. Withdrawal from the study may end at any time, but the gift certificate will not be given. d. You can request placement in the treatment group. ANS: B All participants have the right to autonomy, which is the right to self-determination. Patients have the right to refuse to participate or to withdraw from a study at any time without penalty. Patients generally are not allowed to choose participation in either the treatment or the control group. [Show Less]
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Test Bank For Pharmacology 10th Edition by McCuistion
Test Bank For Pharmacology 10th Edition by McCuistion. MULTIPLE CHOICE 1. The nursing process is a five-step decision-making approach that includes all... [Show More] of the following steps, EXCEPT: a. Assessment b. Patient problem c. Planning d. Right Drug ANS: D The nursing process is a five-step decision-making approach that includes: 1) assessment, 2) patient problem, 3) planning, 4) implementation, and 5) evaluation. “Right drug” is one of the “Six Rights” of medication administration. DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Planning MSC: NCLEX: Management of Care 2. The nurse is using data collected to set goals or expected outcomes and interventions that address the patient’s problems. Which step of the nursing process is the nurse applying? a. Assessment b. Patient problem c. Planning d. Evaluation ANS: C During the planning phase, the nurse uses the data collected to set goals or expected outcomes and interventions which address the patient’s problems. The data was collected during the “Assessment” and “Patient problem” steps. During the “Evaluation” phase the nurse would determine whether the goals and objectives set during the planning phase were met. DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Nursing Intervention MSC: NCLEX: Management of Care 3. A 5-year-old child with type 1 diabetes mellitus has had repeated hospitalizations for episodes of hyperglycemia. The parents tell the nurse that they can’t keep track of everything that has to be done to care for their child. The nurse reviews medications, diet, and symptom management with the parents and draws up a daily checklist for the family to use. These activities are completed in which step of the nursing process? a. Assessment b. Planning c. Implementation d. Evaluation ANS: C TESTBANKWORLD.ORG N The implementation phase is the part of the nursing process in which the nurse provides education, drug administration, patient care, and other interventions necessary to assist the patient in accomplishing established medication goals. DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Nursing Intervention MSC: NCLEX: Management of Care 4. The nurse is preparing to administer a medication and reviews the patient’s chart for drug allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse’s actions are reflective of which phase of the nursing process? a. Assessment b. Evaluation c. Implementation d. Planning ANS: A Assessment involves gathering information about the patient and the drug, including any previous use of the drug. DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Assessment MSC: NCLEX: Management of Care 5. Which assessment is categorized as objective data? a. A list of herbal supplements regularly used b. Lab values associated with the drugs the patient is taking c. The ages and relationship to the patient of all household members d. Usual dietary patterns and food intake ANS: B Objective data are measured and detected by another person and would include lab values. The other examples are subjective data. DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Assessment MSC: NCLEX: Management of Care 6. The nurse reviews a patient’s database and learns that the patient lives alone, is forgetful, and does not have an established routine. The patient will be sent home with three new medications to be taken at different times of the day. The nurse develops a daily medication chart and enlists a family member to put the patient’s pills in a pill organizer. This is an example of which phase of the nursing process? a. Assessment b. Evaluation c. Implementation d. Planning ANS: C The implementation phase involves education and patient care in order to assist the patient to accomplish the goals of treatment. DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Nursing Intervention TEST BANK FOR PHARMACOLOGY 10TH EDITION BY MCCUISTION TESTBANKWORLD.ORG N MSC: NCLEX: Management of Care 7. A patient who is hospitalized for chronic obstructive pulmonary disease (COPD) wants to go home. The nurse and the patient discuss the patient’s situation and decide that the patient may go home when able to perform self-care without dyspnea and hypoxia. This is an example of which phase of the nursing process? a. Assessment b. Evaluation c. Implementation d. Planning ANS: D Planning involves goal setting, which, for this patient, means being able to perform self-care activities without dyspnea and hypoxia. DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Planning MSC: NCLEX: Management of Care 8. A patient will be sent home with a metered-dose inhaler, and the nurse is providing teaching. Which is a correctly written goal for this process? a. The nurse will demonstrate the correct use of a metered-dose inhaler to the patient. b. The nurse will teach the patient how to administer medication with a metered-dose inhaler. c. The patient will know how to self-administer the medication using the metered-dose inhaler. d. The patient will independently administer the medication using the metered-dose inhaler at the end of the session. ANS: D Goals must be patient-centered and clearly state the outcome with a reasonable deadline and should identify components for evaluation. DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Planning MSC: NCLEX: Management of Care 9. The nurse is developing a plan of care for a patient who has chronic lung disease and hypoxia. The patient has been admitted for increased oxygen needs above a baseline of 2 L/min. The nurse develops a goal stating, “The patient will have oxygen saturations of >95% on room air at the time of discharge from the hospital.” What is wrong with this goal? a. It cannot be evaluated. b. It is not measurable. c. It is not patient-centered. d. It is not realistic. ANS: D This goal is not realistic because the patient is not usually on room air and should not be expected to attain that goal by discharge from this hospitalization. DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Planning MSC: NCLEX: Management of Care TEST BANK FOR PHARMACOLOGY 10TH EDITION BY MCCUISTION TESTBANKWORLD.ORG N 10. The nurse is developing a teaching plan for an elderly patient who will begin taking an antihypertensive drug that causes dizziness and orthostatic hypotension. Which patient problem documented by the nurse is appropriate for this patient? a. Deficient knowledge related to drug side effects b. Ineffective health maintenance related to age c. Readiness for enhanced knowledge related to medication side effects d. Risk for injury related to side effects of the medication ANS: D This patient has an increased risk for injury because of drug side effects, so this is an appropriate patient problem to direct the type of care and follow-up the patient will receive. DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Nursing Diagnosis MSC: NCLEX: Management of Care 11. An older patient must learn to administer a medication using a device that requires manual dexterity. The patient becomes frustrated and expresses lack of self-confidence in performing this task. Which action will the nurse perform next? a. Ask the patient to keep trying until the skill is learned. b. Provide written instructions with illustrations showing each step of the skill. c. Schedule multiple sessions and practice each step separately. d. Teach the procedure to family members who can administer the medication for the patient. ANS: C Nurses should be sensitive to patient’s level of frustration when teaching skills. In this case, breaking the steps down into individual parts will help with this patient’s frustration level. [Show Less]
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